Individual
ANDREA LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 S 32ND AVE, YAKIMA, WA 98902-3635
(509) 823-4200
(509) 823-4220
Mailing address
PO BOX 8340, YAKIMA, WA 98908-0340
(509) 823-4200
(509) 823-4220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60206785
WA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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